Individual provider Active NPI

Raven S Young, FNP-C

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1992397541
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02210176 Issued in NC
Practice address
321 Mulberry St SW
Lenoir, NC 28645-5720
Phone
(828) 757-5100
NPI assigned
Feb 5, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02210176 NC Primary

Addresses

Primary practice location

321 Mulberry St SW
Lenoir, NC 28645-5720

Mailing address

4680 Johnson Bridge Rd
Hickory, NC 28602-8434
Phone (828) 855-8791

Other practice location 1

4680 Johnson Bridge Rd
Hickory, NC 28602-8434
Phone (828) 855-8791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817001143 NC Practitioner - Nurse Practitioner 4284039066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Emergency Medical Associates LLCGroup PAC ID 0648207639, 19 clinicians

Practice addresses (Care Compare)

2209 S Sterling St
Suite 200
Morganton, NC 28655-4093
Phone (828) 580-6752

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02210176NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Emergency Medical Associates LLC CurrentSince Jan 8, 2023 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jun 25, 2021 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jun 25, 2021 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
Blowing Rock Medical Clinic PR Current Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

8439 Valley Blvd
Blowing Rock, NC 28605
Phone (828) 295-3116

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

4355 Hickory Blvd
Ste 2
Granite Falls, NC 28630
Phone (828) 757-5050

36 14th Ave NE
Hickory, NC 28601
Phone (828) 757-6265

36 14th Ave NE
Ste 2B
Hickory, NC 28601
Phone (828) 757-5074

270 Pine Mountain Rd
Ste 2
Hudson, NC 28638
Phone (828) 757-6330

1031 Morganton Blvd SW
Ste C
Lenoir, NC 28645
Phone (828) 757-6488

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

322 Mulberry St SW
Ste A
Lenoir, NC 28645
Phone (828) 757-6400

2293 Sugar Hill Rd
Ste A
Marion, NC 28752
Phone (828) 580-1364

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: ryoung710714@direct.unc.nchie.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1992397541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 JOHNSON BRIDGE RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028434",
            "telephone_number": "828-855-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4680 Johnson Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286028434",
            "country_code": "US",
            "telephone_number": "828-855-8791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RAVEN",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F02210176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.